JOB-1668

A lean, profitable and quickly growing startup automates back-office operations for large outpatient healthcare organizations using AI agents. It wants a senior or staff-level backend engineer who can own whole product areas in a small, in-person team.

The work

  • Architect and implement the core platform components behind day-to-day clinic administration, such as appointment booking, patient outreach, insurance handling, bill payment, ledger matching, provider credentialing and analytics
  • Take responsibility for an entire product area, from first design to live operation, and push reliability and security upward and errors downward as the customer base widens
  • Partner with the engineers embedded at customers, the customer-facing team and the technical co-founder to generalize bespoke customer solutions into products many customers can use
  • Run AI agents in live use, supported by evaluation suites, safety guardrails, monitoring and client-driven feedback cycles that adjust behavior automatically; the emphasis is on applying agents, not on researching or training models
  • Drive internal platform projects end to end, for instance tooling that lets non-engineers assemble customized modules for clients
  • Improve the data structures, pipelines and connectors that link to scheduling, billing, payments and supplier software (even systems with no API), and take the pager and investigate causes of incidents in your own code

Profile

  • Four to ten years of full-time software engineering, with the sweet spot around six to seven
  • Background building reliable production services and infrastructure; backend-heavy full stack is fine
  • Proven end-to-end ownership of a product, service or module
  • Experience shipping AI agents or LLM workflows to production
  • Daily use of AI coding tools
  • A degree from a leading engineering program or tenure at a company packed with strong engineers
  • Python, TypeScript, AWS or Cloudflare experience is welcome

On-site in the San Francisco Bay Area, five days a week; relocation support possible. Not able to offer visa sponsorship or transfers.